NPI 1881201408 · live from the CMS NPI Registry
Tyla Marie Fisher, RDN
Dietitian, Registered in Austin, TX. National Provider Identifier 1881201408, active.
NPI record
| NPI | 1881201408 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3724 Jefferson St Ste 104, Austin, TX 78731 |
| Practice phone | 303-898-3257 |
| Mailing address | 1310 Black Hills St, Gillette, WY 82718 |
| Enumerated | September 28, 2020 |
| Last updated | May 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 339 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.